Random inspection report
Care homes for adults (18-65 years)
Name: Address: Leahurst Coronation Drive Widnes Cheshire WA8 8AZ two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Adele Berriman Date: 1 8 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Leahurst Coronation Drive Widnes Cheshire WA8 8AZ 01514951919 01514233513 HRHLEAHURST@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hilton Residential Homes Limited care home 26 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 26 The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accommodated is: 26. Date of last inspection Brief description of the care home Leahurst provides personal care for twenty-six adults with enduring mental health needs. The home has two double bedrooms but uses these for single occupancy. There are two buildings, the main building with a first floor independent three bedroom flat and the lodge a three bedroom detached property. The flat and the lodge have their own kitchen, bathroom and living areas. The main building has twenty bedrooms one of which is en-suite. Other facilities include a residents kitchen, dining room, main lounge, conservatory and smoking lounge.
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home The home has a patio area to the rear of the property with a large area of lawn, where service users can sit. There is car-parking area at the front of the property. The home is close to local shops and a mile away from Widnes town centre. It is on a local bus route and close to two railway stations. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This random inspection of Leahurst took place following several concerns that were raised about the service provided at the home. The inspection was carried out by two inspectors and took place on the 18th November 2009. During the visit we spoke to the registered manager and visited several communal areas of the building. We had been given information regarding the use of Close Circuit Television cameras (CCTV) around the building and that a person had stated that they did not like being watched. We saw that eight CCTV cameras were in operation on the ground floor that were monitored on a screen from the managers office. The manager told us that the CCTV was initially installed for security purposes and that the cameras were pointing towards doors and windows. We saw during our visit that other areas of communal rooms and corridors were also being monitored by the cameras. The manager told us that both he and the proprietor had access to the CCTV cameras live from their homes via the internet. The manager told us that he did not watch the CCTV from home very often only if there was a situation. The manager told us that people living at Leahurst had been informed about the CCTV prior to them moving in and that newly recruited staff were also informed. We looked at the services statement of purpose and service user guide. We saw that no information relating to the use of CCTV and its usage was contained in the documents. The service user guide and statement of purpose must contain detailed information about the use of CCTV around the home. This will help ensure that people are fully aware of situations that may impact on their privacy. We saw that no signs were available within the home to inform people that CCTV cameras were in use. The manager must seek advice, and take action if required from the Information Commissioners Officer regarding the CCTV Code of Practice. This will help ensure that peoples rights and privacy are protected. We had received concerns regarding the times in which peoples evening meals were being served. The manager told us that breakfast was served between 7.00am and 8.30am, lunch was served between 11.15am and 1.00pm and tea was served between 3.45pm and 5.00pm. They told us that a supper of biscuits was served between 8.30pm and 9.00pm. During our visit we observed people being served their evening meal at 3.20pm. Discussion took place with regards to the length of time between the teatime meal and breakfast the following day and the need for people to have access to food at all times. A residents kitchen was available on the ground floor of the home. We saw that tea and coffee were available for people to make as they wished. The manager stated that no food was available for people to have a snack outside of the set mealtimes. The manager told us that food used to be made available but it was problematic. Snacks must be available at all times. This is to ensure that people have access to food if they want
Care Homes for Adults (18-65 years) Page 4 of 10 something to eat. We saw that one person had diabetes that was managed by insulin injections. We asked if food was available for this person outside of mealtimes. They told us that in the event of the persons blood glucose levels dropping staff were instructed to give the person a big drink of juice. They told us that no risk assessment was in place for the persons known situation and potential risks relating to diabetes. It is essential that all known risks are assessed and the outcomes of the assessment incorporated into the persons plan of care. Failure to consider known risk for individuals may result in a person being put at unnecessary risk from harm. We discussed the regularity that people received their personal allowance. The manager told us that people always received their personal allowance on a regular basis. The manager told us that visits are made to a wholesalers to purchase toiletries, canned drinks and crisps for people to buy. They told us that the products are sold at a higher price and the profits from the sales goes into the homes contingency fund for holidays, entertainment and days out. They told us that they kept a record of all sales in a book, however, no receipts were given for purchases. Receipts should be issued to people when a purchase is made within the home. During our visit the manager stated that the out of hours on call arrangements consisted of the manager and in his absence two senior carers were available. We saw no evidence that regular visits were being made to the service by the provider or their representative. Regular visits must be made to the home by the proprietor or their representative in order to assess the premises, any records of events and complaints as part of the homes quality assurance monitoring . A written report should be completed after each visit and a copy of the report made available to the commission if required. What the care home does well: What they could do better:
The services statement of purpose and service user guide must contain information about the use of CCTV around the building. This will help ensure that people are aware of situations that may impact on their privacy. The manager must seek advice from the Information Commissioners Office regarding the CCTV Code of Practice and adhere to any actions required that will protect peoples rights and privacy. Food must be available at all times for people to request and regular consultation should take place with people regarding the times they wish to have their meals. Risk assessments must be completed for all known risks and the outcomes of the assessments incorporated into the persons plan of care. Failure to consider all known risks to individuals may result in a person being put at unnecessary risk from harm.
Care Homes for Adults (18-65 years) Page 5 of 10 Receipts should be issued for all financial transactions completed by the home. Regular visits must be made to the home by the proprietor or their representative and a report written following each visit. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 15 Each person must have a care plan that is up to date and reviewed regularly. This is to make sure that staff have sufficient information to support each individual living at Leahurst. 23/10/2009 2 9 13 Each person must have an up to date risk assessment that it is reviewed regularly. This is to make sure that staff have sufficient information to support each individual living at Leahurst. 23/10/2009 Care Homes for Adults (18-65 years) Page 7 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 1 4 The statement of purpose 23/02/2010 and the service user guide must contain detailed information about the use of CCTV around the home. This is to help ensure that people are aware of situations that may impact on their privacy. 2 6 12 Risk assessment must be completed for all known and identified risks relating to peoples specific healthcare needs. This is to help ensure that action is taken to minimise all known risks and to protect people from unnecessary harm 23/02/2010 3 17 16 Food must be available at all 23/02/2010 times for people to request. This is to ensure that people can access food when they need or wish to. 4 39 26 Regular visits must be made 23/02/2010
Page 8 of 10 Care Homes for Adults (18-65 years) Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action to the home by the proprietor or their representative. This is to help ensure the regular monitoring of quality assurance. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 2 17 41 People living at Leahurst should be consulted on a regular basis as to what times they wish to have their meals. Receipts should be issued for all monetary transactions carried out within the home. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
